Healthcare Careers

Nurse Case Manager (Managed Care)

California, California | Permanent

THE HEALTHCARE INITIATIVE

Where Talent Meets Opportunity

 

Nurse Case Manager (Managed Care)

California

 

Position:

Join a California Healthcare organization looking for a Nurse Case Manager to perform case management activities on assigned cases where analysis, synthesis and evaluation of data are required. Responsible for developing, implementing, and evaluating individual care plans to ensure that care is rendered at the most appropriate level, for the requisite length of time, and in compliance with the organizations, regulatory and contractual requirements. Work is varied and complex and requires a moderate amount of discretion and independent judgement. This position works closely with and reports to the Manager of Case Management.

 

Position Type/Expected schedule:

  • Hybrid work environment: Remote/office
  • Monday-Friday work schedule

 

Qualifications:

  • Bachelor’s degree in nursing, required
  • Unrestricted California Registered Nurse license, required
  • Valid California driver license and reliable transportation required
  • Certified Case Manager Certification, preferred.
  • 3-5+ years clinical experience as a nurse in an acute care setting, required
  • 3+ years of recent experience working in case management, disease Management and/or Quality improvement in a managed care setting, preferred.
  • Experience working with Medi-Cal and/or Medicare populations, strongly preferred
  • General knowledge of NCQA Standards, preferred.

 

Key Skill Set:

  • Self-Starter
  • Organized
  • Time Management
  • Effective communication skills both written and verbal
  • Discreet/confidential
  • Resourcefulness

 

Location:

This location offers many outdoors areas to explore and enjoy while being centrally located to re-known universities, a wide variety of sporting events, a variety of museums and some of the best dining in the United States.

 

We look forward to an opportunity to speak to you. To apply or schedule a confidential phone conversation, please send your resume (MS WORD format preferred) to

alison@thi-search.com or call 720-735-9739

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